HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
•
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
1�
r�+ I
have agreed to be
(Company Name/Individual Name)
the &SCrgic Sub-contractor for
(Type of Trade) {n�lr��� Sr-Primary Contractor)f_
For the project located at 15� �NGTo '' Lve-IF3W 3
(Project Street Address or Property Tax ID#)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub-contractor notice.
CONTRACTOR SIGNATURE(Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier)
1 oPn �E 1 OrA
PRINT NAME PRINT NAME
CO Y CERTIFICATION BE CO Y CERTIFICATION E „
State of Florida,County o y G��v/� State of Florida,County of /
The foregoing instrument was signed before me this t/ day of The foregoing instrument was signed before me this/ day of
20LKby �D V 20S by
who is p j.ally known_or has produced a --fA who is personally known or has produced a 1 ',( c^
as identification. as identification.
a�th,, l�A,, & /2 �tirt�11IP
gnature of Not#Public Sig.ature of Notary blic
--J h- UL GL `� y �
Print Name of N ry Public Prmt Name of Notary)Public
�7
fy.°y, AUDREYB.HUMPHREY
.: . MY COMMISSION#FF 174772 4_�. B.NUMpHpEY
gs EXPIRES:March 6,2019 P + MY'ID'Eye.COMMISSIH FF EY
-;' BondedThruNot Pub6cUndeiwriters ;'.�- a�` E ES:March 6,20i92
Revised 11/16/2016 t. l3f��ft"'' �r ,.9� Banded Thru PIR
Notary Pubric Underwriters